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1609597467
SPENCER EDWIN HEAD
HOUSTON, TX
NPI
1609597467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-09-08
Last Update Date
2022-09-13
Business Address
Mr. SPENCER EDWIN HEAD
6431 FANNIN ST
HOUSTON, TX 77030-1501
Phone number: 832-651-3164
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Mailing Address
Mr. SPENCER EDWIN HEAD
515 1ST ST APT 118
GALVESTON, TX 77550-5703
Phone number: 817-939-8956
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